Ramsay Hunt syndrome a case report and review of literature

This is a case report of a rather rare disorder i.e. Ramsay Hunt syndrome.  This is caused by Varicella zoster infections involving geniculate ganglion of facial nerve.  This syndrome is manifested by the presence of blebs in the external auditory canal, ear ache, and lower motor neurone type of facial paralysis.  This patient had excellent recovery following administration of oral steroids and acyclovir.

Maxillary sinus antrostomy Pitfalls

Endoscopic sinus surgery which is the commonly performed nasal surgery has its own problems ifnot performed properly. Success of maxillay sinus antrostomy depends on including the naturalostium to the antrostomy. For this to happen the natural ostium should be identified during thesurgical procedure. Common cause of failure in endoscopic sinus surgery is the failure to addressthe uncinate process. In all cases it should be removed completely before proceeding further.

Eosinophilic otitis media a literature review

Eosinophilic otitis media is actually a recent introduction. These patients may manifest with sudden hearing loss. There may be associated bronchial asthma and allergic rhinitis. Diagnostic criteria of this condition are rather vague. A review of literature shows that demonstration of eosinophils in the middle ear secretion of these patients could be considered to be pathognomonic of this condition

Self-stabilizing tree algorithms

Designers of distributed algorithms have to contend with the problem of making the algorithms tolerant to several forms of coordination loss, primarily faulty initialization. The processes in a distributed system do not share a global memory and can only get a partial view of the global state. Transient failures in one part of the system may go unnoticed in other parts and thus cause the system to go into an illegal state. If the system were self-stabilizing, however, it is guaranteed that it will return to a legal state after a finite number of state transitions. This thesis presents and proves self-stabilizing algorithms for calculating tree metrics and for achieving mutual exclusion on a tree structured distributed system

Editorial

Otolaryngology online

Tonsillectomy New Vistas

History of tonsillectomy dates back to nearly 2000 years. It was Celsius who first\ud described the procedure in the first century A.D. The potentials for complications after this surgical\ud procedure are still very high despite the advancements in technology. There is still no consensus\ud between the otolaryngologists regarding the safest operating technique which is not attended by any of\ud the classic post operative complications described after tonsillectomy.\ud None of the evaluated procedures has clearly shown that post operative pain could be minimized. The\ud cause for post operative pain following tonsillectomy is due to disruption with exposure of underlying\ud nerve endings (glossopharyngeal and vagus), and pharyngeal constrictor muscle fibres. Postoperatively\ud exposed to external elements the exposed muscle fibres undergo spasm causing pain while swallowing.\ud Any newer surgical technique should address this aspect of inflammation involving the pharyngeal\ud constrictor muscles

Anatomy of Larynx A Review

This article attempts to review anatomical aspects of larynx from a surgeon’s perspective. Anatomically larynx is designed to protect the lower air way from oropharyngeal secretions. Vocalisation happens to be the beneficial offshoot of its pro-tective function

Tonsillectomy the procedure

This article discusses how tonsillectomy surgery is performe

Endoscopic orbital decompression

Orbital decompression surgery has been indicated in patients with compressive optic neuropathy, severe corneal exposure, cosmetic deformity due to proptosis. Traditional orbital decompression approaches were fraught with complications. With the advent of nasal endoscopes decompression\ud is being carried out transnasally under endoscopic guidance. The entire medial wall of orbit can be taken down transnasally using nasal endoscope, and the inferior wall of orbit can be removed using the same approach. Currently endoscopic orbital decompression is being preformed commonly\ud with very minimal complications. The aim of this paper is to review the current literature on the subject

Circumscribed Myositis Ossificans of Masseter Muscle causing\ud trismus

This article discusses an interesting case report of circumscribed myositis ossificans of masseter muscle\ud causing trismus with a review of literature on this subject. This rare disorder is characterised by\ud dystrophic calcification leading on to heterotopic ossification (presence of bone tissue where it is not\ud usually present) of intramuscular connective tissue. Muscles of mastication are commonly involved in\ud this condition